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General NPI Number Information
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NPI Number | 1578296240
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Entity Type | Organization
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Legal Business Name | THE ORTHOPAEDIC INSTITUTE, PA
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Dates
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Enumeration Date | 07/08/2022
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Last Update Date | 08/23/2022
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Provider Practice Location Address
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Address Line | 2955 BROWNWOOD BLVD STE 403
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City | THE VILLAGES
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State | FL
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Zip | 32163-2040
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Country | US
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Telephone | 352-336-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 4500 NEWBERRY RD
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City | GAINESVILLE
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State | FL
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Zip | 32607-2245
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Country | US
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Telephone | 352-336-6000
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | JOLIE HERREN
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Credential |
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Telephone | 352-336-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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